Kidventures 2017 - Registration Kidventures requires a non-refundable deposit of $25.00 per week/per child. This amount will be applied to the registration fee. Parent Name: Complete Address: Phone Number: Email: Children’s Information Name Mil Cost Non Mil cost Birth Date Camp Lunch Date of camp $104 $116 $5 July 4-7 (4 days) $130 $145 $5 July 10-14 $130 $145 $5 July 17-21 $130 $145 $5 July 24-28 $130 $145 $5 July 31 – Aug 4 $104 $116 $5 Aug 8-11 ( 4 days) $130 $145 $5 Aug 14-18 $130 $145 $5 Aug 21-25 No. of Children Grade Completing this year Non Refundable Deposit paid at registration ($25 per child) Remaining Camp Cost SUBTOTAL TOTAL COST OF CAMPS: TOTAL PAID AT TIME OF REGISTRATION: BALANCE OWING AS PER PROVIDED SCHEDULE: Parent / Guardian Signature Method of Payment: Balance Owing Kidventures 2017 Medical & Consent Form The following information is CONFIDENTIAL. It will be used by the Kidventures staff for health and emergency purposes. Please complete ALL information carefully. This form MUST be completed in order for the child to attend camp Please complete one form for each child. Child’s name _________________________Gender:____ Birthday __________ Age ____ Address ________________________________________ Phone Number ____________ Siblings attending camp: ____________________________________________________ Parents/Guardian: __________________________________________________________ Mother’s Telephone: business ______________ home____________ cell_________________ Father’s Telephone: business _____________ home_____________cell_________________ Email: (weekly newsletter will be emailed) ____________________________________ Name of Physician ________________________________Phone ___________________ Manitoba Health Registration No: ___________________ PHIN No: __________________ Other Medical Coverage: __________________________________________________________________________ Company Contract # Policy # Please list 2 other names that may be contracted if parent(s) or guardians(s) are not available. Name (Relationship) Phone Number 1._______________________________________________________________________ 2._______________________________________________________________________ If your child has an allergy to food(s), medication(s) or other items (smoke, dust, pollen, animals, etc.), please state the specific nature and treatment of the allergy. ____________________________________________________________________________ ____________________________________________________________________________ Does your child require a lifejacket? Yes No Is the camper seeing a healthcare provider for any physical, emotional, or behavioural disorder? If YES, Please provide details, including techniques you have found useful. If required please attach an additional sheet or call the MFRC office to plan a meeting with the camp staff. ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Is your child currently on any medication or treatment? If YES, what? ___________________________________________________________________________ Will medication need to be administered at camp? If YES, please specify dosage and instructions. ____________________________________________________________________________ ____________________________________________________________________________ Is there anything else we should know about in caring for your child (Francophone, new to Winnipeg, extremely shy, overly aggressive, any phobias, etc.)? ____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Is the family experiencing a Deployment at this time? Yes No Camp Lunch Kidventures provides an optional hot lunch service on Fridays for $5.00. Please see attached form for weekly selections. Would you like to purchase a hot lunch? Yes No How did You Hear about us? How did you hear about Kidventures Summer Day camp? Please circle one of the following: Word of Mouth Returning Camper Flyer received at home Voxair Pop Up Flyer received at school Other: _____________________________________________ Medical Consent ► I hereby give permission to the MFRC Staff to secure immediate first aid treatment for the above named child that may be required in the event of a medical emergency while in our care, including any necessary transport (accompanied by a staff member) by ambulance or private vehicle to the nearest hospital. I acknowledge the MFRC staff and any physicians called upon to provide medical care to my child will be relying on the information contained herein concerning my child’s medical condition. ► I hereby grant my permission for Kidventures Staff to take my child on field trips by bus. ______________________________ Date ______________________________ Parent/Guardians’ Signature Media Consent ► The Winnipeg MFRC photographs events and participants to maintain a history of the center and for promotional purposes. I give the MFRC permission to photograph of my child/family. ______________________________ Date ______________________________ Parent/Guardians’ Signature Sign out Participants in the Kidventures Summer Day camp program between the ages of 6-12 years old must be signed in and out every day by a parent/ guardian specified below. Once a participant is signed out he/she will no long fall under the supervision or responsibility of the Winnipeg MFRC’s Kidventures Program staff. Photo ID MUST be shown by the pre-approved parent/guardian for pick up. I, ____________________________ (Parent/Guardian’s name), hereby give permission to my child __________________________ to be signed out by myself, the parent/guardian,and the following individuals: (Please print) Name:_____________________________Relationship:_________________________ Name:_____________________________Relationship:_________________________ Name:_____________________________Relationship:_________________________ I understand that once my child is signed out, he/she will no longer fall under the supervision or responsibility of the MFRC Kidventures Staff. ________________________________ Parents/ Guardian Signature ______________________________ Date Winnipeg Military Family Resource Centre Liability Release Form Participants Name___________________________________________________________ I understand that participation in the above event could include actions or tasks which might be hazardous to the participant named above. By signing below, I assume any risk of harm or injury which might occur to the participant due to participation in the event or activity. I release the officers, employees and volunteers of the Winnipeg Military Family Resource Centre from all liability, costs and damages which might arise from participation in the above named event or activity. If the participant is a minor, I agree that the minor has my consent to participate in the event. I further provide my consent for the Winnipeg Military family Resource Centre to seek emergency treatment for the minor if necessary. I agree to accept financial responsibility for the costs related to this treatment. Name of parent or Guardian__________________________________________________ Signature of parent or Guardian _______________________Date____________________ We want to make this camp a great experience for you and your child. Please feel free to attach additional informational or contact the camp staff. Kidventures Summer Day Camp 2017 2016 Parent Handbook Welcome to the MFRC Kidventures Day Camp! We would like to take this opportunity to provide you with some useful information regarding our camp. We look forward to having your child at camp this summer and we believe that their time at camp will provide endless opportunities for rewarding experiences, enjoyable moments, and new friendships. This parent handbook contains valuable information. Please read it carefully and KEEP it for future reference. Sign In/ Sign Out Procedures A parent or guardian MUST sign each child in and out of camp. A note is required if another person is picking up your child (ren). ID MUST be presented in order to pick up your child (ren). Camp Hours Drop-off 8:45 – 9:00 ***with sunscreen applied Pickup 3:45 – 4:00 Extended Care 7:15 – 9:00 a.m. & 4:00 – 5:00 p.m. one staff member will be available. A $5.00 fee will apply to every 15 minutes for late pick up. Camp Location Kidventures is located in the Westwin Children’s Centre in the Westwin Community Centre. The address is 642 Wihuri Road (formally Whytewold Road). Fieldtrips Fieldtrips are on Wednesdays. Destination of fieldtrips is subject to change. We will inform parents and campers of any changes as soon as possible. Children are to wear camp t-shirt. Mandatory Daily Packing List - LABEL ALL ITEMS!! ALL ITEMS!!! All items should fit into 1 backpack: Bathing suit & towel in plastic bag Hat (Visors are not acceptable) (Campers without hats must wear a hat from camp) Sunscreen Water bottle 2 Healthy snacks (Nut free) Healthy lunch (Nut free) Runners are mandatory at all times (No open-toed or open-heeled shoes. This includes sport sandals) X – No Valuables, Money, Trading Cards, Video Games, or iPods Kidventures is not responsible for lost or stolen items. Due to the great number of lost items, it is important that you LABEL ALL backpacks, clothes, towels, lunch bags, water bottles, sunscreens, and any other personal items sent with your child. Sun Protection We require all campers to be protected with sunscreen, and a hat. Use of UV protected sunglasses is encouraged, but not required. We will usually be going outside very early in the day to avoid peak UV times. Parents should apply sunscreen BEFORE camp. Lunches and Snacks Campers require 2 snacks, morning & afternoon, and a lunch. We cannot heat lunches. Snacks and lunches should be healthy and nutritious. The long-lasting energy needed for camp comes from healthy foods. We find it useful to label your child’s afternoon snack for them, as in the past many children have eaten everything earlier in the day and are hungry after swimming. NO PEANUT PRODUCTS are allowed at camp. These allergies are severe, as is this rule. Please try to pack litter-less snacks and lunches. Labelled containers will find their way home!! Medical Forms/ Medications The Medical and Consent Form MUST be filled out for each child prior to camp. Any medications that need to be taken at camp must be given to the camp staff. An “Administration of Medication” consent form needs to be filled out for all medication. Place medications in a Ziploc bag, marked with the camper’s name and instructions (time, dosage, take with food, etc.). Please note that camp staff is not able to provide campers with any medication unless supplied by the parent. Parent/Staff Communication We believe that communication between parents and the staff is important. If you have any concerns or issues, please do not hesitate to contact the staff or the coordinator. Please realize that at certain times during the day, the staff are very busy with the children and may not have time to discuss major issues. Please contact the camp supervisor (ext. 2991) or the Youth Program Coordinator (ext 4511) to schedule a meeting. Each family will have a mail slot at the camp. Please check these daily for any notes or receipts. Payment and Refund Policy Registration and payment deadline is 2 weeks prior to the start of camp. Kidventures runs on a cost-recovery basis: refunds are not issued after registration except due to extenuating circumstances. Refunds are subject to a $25.00 administration fee. There are no refunds 2 weeks prior to the start date of camp. Feedback The Kidventures camp is designed and improved based on feedback from parents, staff, and the campers themselves. We always welcome constructive feedback. Evaluation forms for parents and campers will be distributed each Thursday during camp. We encourage you to fill out the forms and return them to either the camp or the MFRC office at the end of your child’s camp experience. Important Numbers Winnipeg Military Family Resource Centre 102 Comet St. P.O. Box 17000, Station Forces Winnipeg, Manitoba R3J 3Y5 Phone 833-2500 extension 4500 Westwin Children’s Centre (during camp hours only): 833-2500 Ext. 2491 Kidventures Supervisor – Sabreena Castagner 833-2500 Ext. 2991 Youth Program Coordinator – John Bailey: 833-2500 Ext. 4511 If you have any questions, please do not hesitate to call. We will be happy to assist you and your child (ren) prepare for a great summer camp experience. Dates of payments / Postdated cheques Camp Date of postdated cheque Mil 1 – Infinity & Beyond 4 to 7 July 2017 * 19 June 2017 $ 104 $ 116 2 – Wet N’Wild 10 to 14 July 2017 26 June 2017 $130 $145 3 – Animal Planet 17 to 21 July 2017 3 July 2017 $130 $ 145 4 – The Great Outdoors 24 to 28 July 2017 10 July 2017 $ 130 $ 145 5 – Mad Science 31 July to 4 August 2017 17 July 2017 $ 130 $ 145 6 – Around the World in 4 days 8 to 11 August 2017 * 24 July 2017 $ 104 $ 116 7 – Challenge Week 14 to 18 August 2017 31 July 2017 $ 130 $ 145 8 – Time travelers 21 to 25 August 2017 7 August 2017 $ 130 $ 145 *Note: Weeks 1 and 6: 4 days Civ Kidventures Hot Lunch Order Form ⎕Week 1 – 4 to 7 July ⎕Week 4 – 24 to 28 July ⎕Week 7 – 14 to 18 August Pizza & Pop Child’s Name: _______________________________________________ Allergies: ___________________________________________________ Pizza Choice (Please Circle) Pepperoni Cheese Number of slices (+$1.00 per extra slice) 1 2 3 Pop Choice (Please Circle) Coke Sprite Fruitopia Iced Tea Orange Crush Mountain Dew Notes: ______________________________________________________________ Kidventures Hot Lunch Order Form ⎕ Week 2 – 10 - 14 July ⎕ Week 5 – 31 July – 4 August ⎕ Week 8 – 21 – 25 August McDonald’s Child’s Name: Allergies: Meal Choice – comes with fries: (Please Circle) Hamburger Cheeseburger Chicken Fingers Pop Choice: (Please Circle) Coke Sprite Fruitopia Iced Tea Orange Crush Mountain Dew Notes: ______________________________________________________________ Kidventures Hot Lunch Order Form ⎕Week 3 – 17 to 21 July ⎕Week 6 – 8 to 11 August Subway Child’s Name: _______________________________________________ Allergies: ___________________________________________________ Meal Choice (Please Circle) Cold Cut Combo Veggie Delight Ham Turkey Breast Italian B.M.T Number of Portions *(additional portions $1.00) 1 2 3 Pop Choice (Please Circle) Coke Sprite Fruitopia Iced Tea Orange Crush Mountain Dew Notes: ______________________________________________________________
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